Superintendent’s ScholarsSummer Camps

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Make new friends

Have fun

Share other students’ experiences

Experience MSU life on campus

Take advantage of summer learning

Learn from other students like you

Enjoy great food

Explore interests with other“Cream of the Crop” students

Expand your talents

Midwestern State University3410 Taft Blvd.Wichita Falls, TX

Reasons to JoinSummer Scholars Camps

Superintendent’s ScholarsSummer Camps

Come join other students this summer for sessions and have fun expanding your horizons in creative writing, science and math.

• Do you love to write storiesand poems?

• Are you interested in forensicscience?

• Are you interested in puttingyour mathematic skills towork in unique and originalways?

Cost: $50.00 each sessionLimited scholarships are available

for qualifying students.

See the WFISD website, www.wfisd.net or call(940) 235-1001 for more information.

YOU’RE INVITED!!

Creative Writing Camp Completed Grades 5-11

July 10-14

Math Mythbusters Camp Completed Grades 5-8

June 26-30

Forensic Science Camp Completed Grades 5-11

July 17-21

Camps will be held atMidwestern State University

9:00 a.m. - 2:00 p.m.

- Lunch provided -

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• • • • • •

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RELEASE AND INDEMNIFICATION AGREEMENT FOR MINORS

PARTICIPANT: (Name and Address) INSTITUTION:

______________________________________________ Midwestern State University

______________________________________________ 3410 Taft Boulevard

______________________________________________ Wichita Falls, Texas 76308-2099

DESCRIPTION OF ACTIVITY OR TRIP:

__________________________________________________________________________________________________

_________________________________________________________________________________________________.

LOCATION: Midwestern State University DATES: _____________________________________

I am the Parent/Guardian of the above-named Participant who is under eighteen (18) years of age and am fully competent

to sign this Agreement. I give permission for Participant to participate in the above-referenced Activity or Trip. I

acknowledge that the nature of the Activity or Trip may expose Participant to hazards or risks that may result in

Participant’s illness, personal injury or death and I understand and appreciate the nature of such hazards and risks.

In consideration of Participant being permitted to participate in the Activity or Trip, I hereby accept all risk to

Participant’s health and of his/her injury or death that may result from such participation.

I hereby release the above named Institution, its governing board, officers, employees and representatives from

any and all liability to Participant, Participant’s personal representatives, estate, heirs, next of kin, and assigns for

any and all claims and causes of action for loss of or damage to Participant’s property and for any and all illness or

injury to Participant’s person, including his/her death, that may result from or occur during Participant’s

participation in the Activity or Trip, WHETHER CAUSED BY NEGLIGENCE OF THE INSTITUTION, ITS

GOVERNING BOARD, OFFICERS, EMPLOYEES, OR REPRESENTATIVES, OR OTHERWISE.

I further agree to indemnify and hold harmless the Institution and its governing board, officers, employees, and

representatives from liability for the injury or death of any person(s) and damage to property that may result from

Participant’s negligent or intentional act or omission while participating in the described Activity or Trip.

I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL

CLAIMS AND CAUSES OF ACTION FOR MY INJURY OR DEATH OR DAMAGE TO MY PROPERTY

THAT OCCURS WHILE PARTICIPATING IN THE DESCRIBED ACTIVITY OR TRIP AND IT OBLIGATES

ME TO INDEMNIFY THE PARTIES NAMED FOR ANY LIABILITY FOR INJURY OR DEATH OF ANY

PERSON AND DAMAGE TO PROPERTY CAUSED BY MY NEGLIGENT OR INTENTIONAL ACT OR

OMISSION.

_______________________________________________ _______________________________________

Signature of Parent/Guardian Date

_______________________________________________

Address (if different from Participant’s)

_______________________________________________ _______________________________________

Witness Date

MSU OGC/blm: form approved 10/10/2012